| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.31 | $10.31 | $10.31 | |
Aetna
| Professional | $10.31 | $10.31 | $10.31 | |
CareFirst
| Professional | $8.68 | $8.68 | $10.42 | |
Cigna
| Professional | $9.16 | $9.16 | $9.16 | |
Kaiser Permanente
| Professional | $30.27 | $30.27 | $30.27 | |
United
| Professional | $5.07 | $7.61 | $10.78 |